RUSSELL DETKO

Technician - Personal Care Attendant

Active Individual
NPI: 1720846793

Practice Address

1492 VAGO RD
Frankford, WV 24938

Phone: (304) 667-5898

Specialties

Specialty Code Primary License
Technician - Personal Care Attendant 3747P1801X Yes -

Frequently Asked Questions

NPI 1720846793 is the National Provider Identifier for RUSSELL DETKO, a Technician - Personal Care Attendant provider located in Frankford, WV. This NPI was enumerated on March 13, 2024.
RUSSELL DETKO practices at 1492 VAGO RD, Frankford, WV 24938.

Quick Facts

NPI
1720846793
Type
Individual
Enumerated
Mar 13, 2024
Last Updated
Mar 13, 2024

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